Michelle M Desjardins, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Manchester, New Hampshire. Her current practice location is
1070 Holt Ave, Manchester, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 668-4111.
Michelle M Desjardins is licensed to practice in New Hampshire (license number 058508-23) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265628846.
Physician's Profile
| Full Name | Michelle M Desjardins |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1070 Holt Ave, Manchester, New Hampshire |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265628846
- Provider Enumeration Date: 09/18/2007
- Last Update Date: 03/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042627333
- Enrollment ID: I20210405000206
Medical Identifiers
Medical identifiers for Michelle M Desjardins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265628846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 058508-23 (New Hampshire) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 058508-23 (New Hampshire) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle M Desjardins allows following entities to bill medicare on her behalf.
| Entity Name | Elliot Professional Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285627935 PECOS PAC ID: 6103727920 Enrollment ID: O20040115000634 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle M Desjardins is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michelle M Desjardins, APRN 1070 Holt Ave, Manchester, NH 03109-5603 Ph: (603) 622-3781 | Michelle M Desjardins, APRN 1070 Holt Ave, Manchester, NH 03109 Ph: (603) 668-4111 |
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